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腰椎骨折患者螺旋CT设计钉道行腰椎椎弓根置钉的准确性及安全性分析 被引量:6
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作者 李硕 石运力 +1 位作者 朱江 王磊 《转化医学杂志》 2024年第1期68-74,共7页
目的探讨基于螺旋CT影像中钉道位置判断腰椎骨折患者椎弓根置钉的参数变化、准确性及安全性。方法选取2020年1月—2022年1月120例采用螺旋CT设计钉道行腰椎椎弓根置钉的腰椎骨折患者作为观察组,另选取采用传统Weinstein法进行腰椎椎弓... 目的探讨基于螺旋CT影像中钉道位置判断腰椎骨折患者椎弓根置钉的参数变化、准确性及安全性。方法选取2020年1月—2022年1月120例采用螺旋CT设计钉道行腰椎椎弓根置钉的腰椎骨折患者作为观察组,另选取采用传统Weinstein法进行腰椎椎弓根置钉的腰椎骨折患者120例作为对照组。分析观察组螺旋CT测定腰椎椎弓根钉道参数,并对比2组腰椎椎弓根置钉准确率、安全率、完成钉道准备时间及置钉出血量。结果观察组L 1~5节段椎弓根轴线与棘突轴线成角、椎弓根宽度逐渐增大(P<0.05);L 1~4节段入钉点至椎体前缘距离无明显变化,到L 5节段明显减小(P<0.05)。同一椎体左右两侧椎弓根轴线与棘突轴线成角、椎弓根宽度、入钉点至椎体前缘距离比较差异无统计学意义(P>0.05)。男性L 1~5节段椎弓根轴线与棘突轴线成角、椎弓根宽度、入钉点至椎体前缘距离均大于女性(P<0.05,P<0.01)。双侧最小椎弓根宽度为(8.13±0.59)mm,为安全进钉区域,可安全容纳3.5 mm螺钉。术后3 d,复查螺旋CT了解腰椎椎弓根置钉情况,观察组共置入椎弓根螺钉235枚,对照组共置入椎弓根螺钉229枚。观察组置钉准确率为91.49%(215/235)、安全率为99.15%(233/235)均高于对照组置钉准确率72.05%(165/229)、安全率90.39%(207/229)(P<0.05);观察组完成钉道准备时间短于对照组,置钉出血量少于对照组(P<0.01)。结论基于螺旋CT影像中L 1~5节段椎弓根轴线与棘突轴线成角、椎弓根宽度、入钉点至椎体前缘距离各腰椎节段间及不同性别间存在差异,可为腰椎椎弓根置钉提供解剖依据,能缩短完成钉道准备时间,减少置钉出血量,提高置钉准确性及安全性。 展开更多
关键词 脊柱骨折 腰椎 体层摄影术 螺旋计算机 CT参数 weinstein 椎弓根置钉 安全性 准确率
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Hidden Symmetries of Lax Integrable Nonlinear Systems
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作者 Denis Blackmore Yarema Prykarpatsky +1 位作者 Jolanta Golenia Anatoli Prykapatski 《Applied Mathematics》 2013年第10期95-116,共22页
Recently devised new symplectic and differential-algebraic approaches to studying hidden symmetry properties of nonlinear dynamical systems on functional manifolds and their relationships to Lax integrability are revi... Recently devised new symplectic and differential-algebraic approaches to studying hidden symmetry properties of nonlinear dynamical systems on functional manifolds and their relationships to Lax integrability are reviewed. A new symplectic approach to constructing nonlinear Lax integrable dynamical systems by means of Lie-algebraic tools and based upon the Marsden-Weinstein reduction method on canonically symplectic manifolds with group symmetry, is described. Its natural relationship with the well-known Adler-Kostant-Souriau-Berezin-Kirillov method and the associated R-matrix method [1,2] is analyzed in detail. A new modified differential-algebraic approach to analyzing the Lax integrability of generalized Riemann and Ostrovsky-Vakhnenko type hydrodynamic equations is suggested and the corresponding Lax representations are constructed in exact form. The related bi-Hamiltonian integrability and compatible Poissonian structures of these generalized Riemann type hierarchies are discussed by means of the symplectic, gradientholonomic and geometric methods. 展开更多
关键词 Lie-Algebraic Approach Marsden-weinstein Reduction method R-MATRIX Structure Poissonian Manifold Differential-Algebraic methods Gradient HOLONOMIC Algorithm LAX INTEGRABILITY Symplectic STRUCTURES Compatible Poissonian STRUCTURES LAX Representation
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